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Frail Older People Ageing in Place in Italy: Use of Health Services and Relationship with General Practitioner

Author

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  • Maria Gabriella Melchiorre

    (Centre for Socio-Economic Research on Ageing, IRCCS INRCA-National Institute of Health and Science on Ageing, 60124 Ancona, Italy)

  • Marco Socci

    (Centre for Socio-Economic Research on Ageing, IRCCS INRCA-National Institute of Health and Science on Ageing, 60124 Ancona, Italy)

  • Sabrina Quattrini

    (Centre for Socio-Economic Research on Ageing, IRCCS INRCA-National Institute of Health and Science on Ageing, 60124 Ancona, Italy)

  • Giovanni Lamura

    (Centre for Socio-Economic Research on Ageing, IRCCS INRCA-National Institute of Health and Science on Ageing, 60124 Ancona, Italy)

  • Barbara D’Amen

    (Centre for Socio-Economic Research on Ageing, IRCCS INRCA-National Institute of Health and Science on Ageing, 60124 Ancona, Italy)

Abstract

Functional limitations, chronic diseases and frailty often occur in later life. These aspects become very challenging when older people age alone in place, thus needing support in the activities of daily living, and in this context, it is important they can access and use health services. The present study aimed to explore these issues in Italy. In 2019, 120 qualitative interviews were carried out within the “Inclusive Ageing in Place” (IN-AGE) project, involving frail older people living at home in three Italian regions (Lombardy, Marche, and Calabria). A content analysis and some quantifications of main statements are presented. Results showed that the majority of seniors report poor self-rated health (SRH), suffer from many chronic diseases, and mainly use the General Practitioner (GP) and Medical Specialists (MSs), even though long waiting list in the public sector and high costs in the private one act as barriers to access health services. Complaints regarding GPs mainly refer to the almost exclusive provision of prescriptions and the lack of home visits. Some regional peculiarities highlighted a better overall context in the north than in the south, especially with regards to the public health sector. These results can provide useful insights for policy makers, in order to deliver health services assuring frail, older people the continuity of assistance needed at home.

Suggested Citation

  • Maria Gabriella Melchiorre & Marco Socci & Sabrina Quattrini & Giovanni Lamura & Barbara D’Amen, 2022. "Frail Older People Ageing in Place in Italy: Use of Health Services and Relationship with General Practitioner," IJERPH, MDPI, vol. 19(15), pages 1-26, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9063-:d:871385
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    References listed on IDEAS

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    1. Lei Jin & Nicholas Chrisatakis, 2009. "Investigating the mechanism of marital mortality reduction: The transition to widowhood and quality of health care," Demography, Springer;Population Association of America (PAA), vol. 46(3), pages 605-625, August.
    2. Laura A. Herndon & Peter J. Schmeissner & Justyna M. Dudaronek & Paula A. Brown & Kristin M. Listner & Yuko Sakano & Marie C. Paupard & David H. Hall & Monica Driscoll, 2002. "Stochastic and genetic factors influence tissue-specific decline in ageing C. elegans," Nature, Nature, vol. 419(6909), pages 808-814, October.
    3. Sara Chimento-Díaz & Pablo Sánchez-García & Cristina Franco-Antonio & Esperanza Santano-Mogena & Isabel Espino-Tato & Sergio Cordovilla-Guardia, 2022. "Factors Associated with the Acceptance of New Technologies for Ageing in Place by People over 64 Years of Age," IJERPH, MDPI, vol. 19(5), pages 1-18, March.
    4. Maria Gabriella Melchiorre & Sabrina Quattrini & Giovanni Lamura & Marco Socci, 2022. "Role and Characteristics of Personal Care Assistants of Frail Older People with Functional Limitations Ageing in Place in Italy," IJERPH, MDPI, vol. 19(7), pages 1-25, March.
    5. Grant Stafford & Noemí Villén & Albert Roso-Llorach & Amelia Troncoso-Mariño & Mònica Monteagudo & Concepción Violán, 2021. "Combined Multimorbidity and Polypharmacy Patterns in the Elderly: A Cross-Sectional Study in Primary Health Care," IJERPH, MDPI, vol. 18(17), pages 1-22, September.
    6. Briana N. M. Hagen & Alex Sawatzky & Sherilee L. Harper & Terri L. O’Sullivan & Andria Jones-Bitton, 2021. "What Impacts Perceived Stress among Canadian Farmers? A Mixed-Methods Analysis," IJERPH, MDPI, vol. 18(14), pages 1-14, July.
    7. Maria Jędrzejczyk & Weronika Foryś & Michał Czapla & Izabella Uchmanowicz, 2022. "Relationship between Multimorbidity and Disability in Elderly Patients with Coexisting Frailty Syndrome," IJERPH, MDPI, vol. 19(6), pages 1-10, March.
    8. Núria Molist-Brunet & Daniel Sevilla-Sánchez & Emma Puigoriol-Juvanteny & Lorena Bajo-Peñas & Immaculada Cantizano-Baldo & Laia Cabanas-Collell & Joan Espaulella-Panicot, 2022. "Individualized Medication Review in Older People with Multimorbidity: A Comparative Analysis between Patients Living at Home and in a Nursing Home," IJERPH, MDPI, vol. 19(6), pages 1-13, March.
    9. Yuehong Qiu & Kaigong Wei & Lijun Zhu & Dan Wu & Can Jiao, 2021. "The Association of Meteorological Factors with Cognitive Function in Older Adults," IJERPH, MDPI, vol. 18(11), pages 1-14, June.
    10. Oliver Fisher & Paolo Fabbietti & Giovanni Lamura, 2021. "Socio-Economic Predictors of Hiring Live-In Migrant Care Workers to Support Community Dwelling Older Adults with Long-Term Care Needs: Recent Evidence from a Central Italian Region," Sustainability, MDPI, vol. 13(10), pages 1-18, May.
    11. Maria Gabriella Melchiorre & Sabrina Quattrini & Giovanni Lamura & Marco Socci, 2021. "A Mixed-Methods Analysis of Care Arrangements of Older People with Limited Physical Abilities Living Alone in Italy," IJERPH, MDPI, vol. 18(24), pages 1-35, December.
    12. Domenica Matranga & Laura Maniscalco, 2022. "Inequality in Healthcare Utilization in Italy: How Important Are Barriers to Access?," IJERPH, MDPI, vol. 19(3), pages 1-14, February.
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